Head Injuries: Difference between revisions
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(Created page with "==Section 6 - TRAUMA== ===6.07 HEAD INJURIES=== INITIAL TRAUMA CARE, (2.02) OXYGEN @ 100% via NRB mask or hyperventi...") |
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[[Initial Trauma Assessment and Care|INITIAL TRAUMA CARE]], (2.02) [[Medical Gases|OXYGEN]] @ 100% via NRB mask or hyperventilate with BVM. | [[Initial Trauma Assessment and Care|INITIAL TRAUMA CARE]], (2.02) [[Medical Gases|OXYGEN]] @ 100% via NRB mask or hyperventilate with BVM. | ||
* Elevate head | * Elevate head and shoulders 15 - 30 degrees if systolic BP > 90 mm Hg. | ||
* Refer to [[Altered Mental Status (AMS)|ALTERED MENTAL STATUS PRACTICE PARAMETER]] (5.03). | * Refer to [[Altered Mental Status (AMS)|ALTERED MENTAL STATUS PRACTICE PARAMETER]] (5.03). | ||
* If Combative refer to [[Analgesia and Sedation|ANALGESIA / SEDATION PRACTICE PARAMETER]] (2.04) | * If Combative refer to [[Analgesia and Sedation|ANALGESIA / SEDATION PRACTICE PARAMETER]] (2.04) | ||
Revision as of 14:53, 28 March 2012
Section 6 - TRAUMA
6.07 HEAD INJURIES
INITIAL TRAUMA CARE, (2.02) OXYGEN @ 100% via NRB mask or hyperventilate with BVM.
- Elevate head and shoulders 15 - 30 degrees if systolic BP > 90 mm Hg.
- Refer to ALTERED MENTAL STATUS PRACTICE PARAMETER (5.03).
- If Combative refer to ANALGESIA / SEDATION PRACTICE PARAMETER (2.04)
- Note: Morphine is the first choice of Combative Head Injury
- MORPHINE - Initial dose 2-5 mg IVP or IN followed by 2 mg doses. (Max 15 mg)
- Physician’s orders if time permits
- MIDAZOLAM (Versed) - Initial dose 2-5mg IV or IN then 2 mg every 30 seconds to 1 minute.
- (Max dose 15 mg) in the intubated patient. IM .07-.08 mg/kg with onset in approximately 15 minutes. IM injection requires immediate IV access upon sedation.
- These drugs may be given in combination for maximum effectiveness.
- Ensure that Pulse Oximeter is in place.
- Ensure that BVM and ROMAZICON and/or NARCAN are readily available.